Observation Questionnaire Surfing

1. Where did you and the AccesSurfer surf?

The first time you surfed with the AccesSurfer:
Today:

2. How was the access to the water?

The first time you surfed with the AccesSurfer:
Today:

3. How were the environmental conditions? (Water, wind, current, waves, crowds):

The first time you surfed with the AccesSurfer:
Today:

4. What is the surfing style of the AccesSurfer?

When they first joined AccesSurf:
Today:

5. How much assistance in the water did the AccesSurfer need?

When they first joined AccesSurf:
Today:

6. How does the AccesSurfer access the water?

When they first joined AccesSurf:
Today:

Comfort Level Scale

Very Uncomfortable Uncomfortable Neutral (OK, Alright) Comfortable Very Comfortable
1 2 3 4 5

7. How comfortable is the AccesSurfer talking to new people at AccesSurf?

8. How comfortable is the AccesSurfer entering the water?

9. How comfortable is the AccesSurfer in the water (on a surfboard)?

10. How comfortable is the AccesSurfer when falling or wiping out?

Level of Communication and Dependency

Totally Dependent Max Assist Min Assist Verbal Assist Self Direct Totally Independent
1 2 3 4 5 6

11. How does the AccesSurfer prepare for surfing? (sun protection, hydration, equipment, meds, leash, wax, leg straps, fins, etc.)

12. How does the AccesSurfer choose the path to enter the water?

13. How does the AccesSurfer paddle out to surf?

14. How does the AccesSurfer select surfable waves?

15. How does the AccesSurfer catch waves?

16. How does the AccesSurfer ride waves?

17. How does the AccesSurfer recover after wiping out?

18. How does the AccesSurfer manage underwater situations?

19. How does the AccesSurfer direct needs and wants to surf? (e.g. selection of waves, white water, lost equipment, etc.)

20. How long can the AccesSurfer endure a surf session? (with breaks in the water)

When they first joined AccesSurf:
Today:

Community Integration Scale

Always Disagree Sometimes Disagree Neutral Sometimes Agree Always Agree
1 2 3 4 5

21. The AccesSurfer knows a number of people in AccesSurf to initiate a greeting and a receive a greeting in return.

22. The AccesSurfer has developed a support system at AccesSurf events.

23. The AccesSurfer is able to access new locations in the community.

24. Does the AccesSurfer participate in water activities outside of AccesSurf events and how often?

When they first joined AccesSurf:
Today:

Thank you very much!